title: Transapical closure of mitral prosthetic paravalvular leak.
abstract: Clinically significant mitral prosthetic paravalvular leaks may occur in up to 5% of patients following surgical mitral valve replacement. Successful closure may offer relief from symptoms of heart failure and hemolysis, but surgical closure is associated with increased morbidity and mortality. Alternative transcatheter closure techniques are being developed. We present a patient who was successfully treated via a transapical approach with deployment of an amplatzer duct occluder type I closure device under real-time two-dimensional transesophageal echocardiography.
authors.affiliation: Department of Transcatheter Heart Valves, Hygeia Hospital, Athens, Greece.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Spargias
authors.forename: Aphrodite
authors.initials: A
authors.lastname: Tzifa
authors.forename: Michael
authors.initials: M
authors.lastname: Chrissoheris
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Boumpoulis
authors.forename: Ioulia
authors.initials: I
authors.lastname: Nikolaou
authors.forename: Efstratios
authors.initials: E
authors.lastname: Pattakos
mesh_terms: D000368:Aged; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D011475:Prosthesis Failure; D055989:Septal Occluder Device; D016896:Treatment Outcome